" Our lives begin to end when we remain silent about things that matter "

... Dr Martin Luther King

M ental I llness Concerns All carers

1. We were building Trust

2. It was confidential.

3. It was their choice

4. They were not ill enough as we saw them

5. Nobody told us about what they had observed [ they should have; their fault ] Contacting us it's up to them to find a way. Our staff are always changing, giving you a contact point would'n't work

6.They can't be forced to take up activities - [ and just as well; there aren't any ] If we had such a service; if there had been 'beds'

7. they were not on our books [ they did not attend ]

8.
Nobody asked us to see them. In any case , they would not come. If they did they would not be able or willing to tell us about any illness. Oh no, we couldn't see you ... see 1. 2. above

9.
There was no point in putting it into the Care Plan because there was no resource. We don't have that kind of aftercare service. We discharge them back to the GP. [ for counselling ? well, carers can get that . ]

10.
We prefer them as informal patients, because then it's their choice; and less legal documentation, and no obligatory section 117 after care programme of further help.

11.
ooh no, we can't tell them what to do - use our authority .... [ although we do know what they should do ] - it's their choice you see, to live in neglect, to not do anything interesting or useful, or that requires them to be out and with others sharing an interest - it's their choice.
It is not possible to secure a longterm activity that can be met twice a week,and that X would accept.
What ? section? -- see above: then we would have to do and provide something in aftercare, and be responsible if anything goes wrong - more work for us - not ill enough ....remember .... we can't do everything, overwhelmed with acute work - travelling - meetings ? with carers ... GP;s ... day centres ... no, re-organised sector arrangements.